Fast Pace Mississippi, Pllc

LBN: Fast Pace Mississippi, Pllc
Fast Pace Mississippi, Pllc is an health care organization with primary practice located at 517 City Ave S , Ripley MS 38663. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Fast Pace Mississippi, Pllc can be contacted via phone (662) 587-8206, or through Clemmons, Sydni via phone (901) 351-1791.

Contact Information

Primary practice address
517 City Ave S Ripley MS 38663
Phone: (662) 587-8206
Fax: (662) 587-8207
Website:
Map and Directions
Authorized official contact:
Name: Clemmons, Sydni
Phone: (901) 351-1791

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1447769559
LBN Legal business name Fast Pace Mississippi, Pllc
DBA Doing business as
Authorized official Clemmons, Sydni
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2017
Last updated Oct 15th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447769559 NPPES
Mississippi MEDICAID 07277821

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